Provider Demographics
NPI:1265439806
Name:GUERRERO, ROBERTO ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:ANDRES
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:12959 PALMS WEST DRIVE
Mailing Address - Street 2:STE 210
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4940
Mailing Address - Country:US
Mailing Address - Phone:561-795-3333
Mailing Address - Fax:561-791-3002
Practice Address - Street 1:12959 PALMS WEST DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4940
Practice Address - Country:US
Practice Address - Phone:561-795-3333
Practice Address - Fax:561-795-3612
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME71612174400000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261303400Medicaid
G83854Medicare UPIN